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Contact Information

ARCHDALE OPTOMETRY CORPORATION PLLC
7095 LEXINGTON DR
COLORADO SPRINGS, CO80918-6329
 Phone: 719-638-4010
 Fax: 719-638-4021
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ARCHDALE OPTOMETRY CORPORATION PLLC

NPI Number 1275660565
LBN Legal business name ARCHDALE OPTOMETRY CORPORATION PLLC
Authorized official THEODORE (TED) ARCHDALE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/27/2007
Last updated 12/19/2025 - About 6 months ago
Identifiers
CO License # 1466
CO Medicaid 08014664
CO Medicaid 26777312
CO Other 1588660161 PERSONAL NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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